Individual provider Active NPI

Jon Charles Parks, MD

  • Pain Medicine Physician
  • Wichita, KS
National Provider Identifier
1477544658
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
0423274 Issued in KS
Practice address
3715 N Oliver St
Wichita, KS 67220-3404
Phone
(316) 942-4519
Fax
(316) 942-4655
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Medicine Associates, LLC 9 clinicians

Practice addresses (Care Compare)

3715 N Oliver St
Wichita, KS 67220-3404
Phone (316) 942-4519

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000596 KS Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 1355232737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Surgery Center LLC CurrentSince May 13, 2022 Accepting new patients
Kansas Professional Anesthesia and Pain Management Specialists, P.a. PastSince May 14, 2001 Accepting new patients

Locations

3715 N Oliver St
Wichita, KS 67220
Phone (316) 440-1276

NPPES NPI Registry

Updated by the provider on May 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 0423274 KS Primary

Addresses

Primary practice location

3715 N Oliver St
Wichita, KS 67220-3404

Mailing address

3715 N Oliver St
Wichita, KS 67220-3404
Phone (316) 942-4519

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1477544658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203404",
            "telephone_number": "316-942-4519",
            "fax_number": "316-942-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203404",
            "telephone_number": "316-942-4519",
            "fax_number": "316-942-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JON",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KS",
            "license": "0423274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.